“A” mystery of difficult intubation
Che-Kim Tan, MD
Department of Intensive Care Medicine, Chi-Mei Medical Center, Tainan, Taiwan
Department of Internal Medicine, Taipei Medical University, Taipei, Taiwan
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Fig. 1
Bronchoscopy showed whitish bandlike tissue bridging the middle part of vocal cords, forming an alphabet “A.”
Glottic web may be congenital or a result from injury of endotracheal intubation, thermal, corrosive, and endoscopic surgery. We report a case of difficult intubation and a glottic web was revealed from bronchoscopic examination after extubation. Treatment options include laser web lysis, kneel placement, or open surgery. Glottic web, though rare, may be a reason for difficult endotracheal intubation.
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© 2009 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
